Philip Nguyen

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-49043 Issued in CA

Practice address

17284 Newhope St Ste 212
Fountain Valley, CA 92708-8201

Phone

(833) 922-2669

Fax

(714) 509-1545

NPI assigned

Jan 30, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hearts of ABA

  • Behavior Analyst
  • Stanton, CA
  • NPI 1023405982
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1720542194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17284 NEWHOPE ST STE 212",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927088201",
            "telephone_number": "833-922-2669",
            "fax_number": "714-509-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17284 NEWHOPE ST STE 212",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927088201",
            "telephone_number": "833-922-2669",
            "fax_number": "714-509-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHILIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-30",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "BCAT-00002690",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-49043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nguyen Thanh Nguyen, M.D.
• Patrick Nguyen
• Paul Nguyen, BEHAVIOR TECHNICIAN
• Peter Hai Nguyen, ACSW
• Peter Trong Ngoc Nguyen, DO
• Phuc Nguyen
• Phuc Nguyen, BT
• Phuong Minh Nguyen, PHARM. D
• Phuong T Nguyen, D.C.
• Quan Hoang Nguyen, M.D.

• Behavior Analyst in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.